Active NPI
Preventative Wellness Solutions III PLLC
- Obesity Medicine (Family Medicine) Physician
- Chapel Hill, NC
National Provider Identifier
1003553785
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obesity Medicine (Family Medicine) Physician
- Legal business name
- PREVENTATIVE WELLNESS SOLUTIONS III PLLC
- Practice address
- 112 Perkins Dr Ste 300
Chapel Hill, NC 27514-1786 - Phone
- (919) 364-3344
- Fax
- (919) 364-0137
- NPI assigned
- May 16, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Stacey Heald
- Title
- MGR
- Phone
- (813) 228-6334
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | |||
| Obesity Medicine (Family Medicine) Physician | 207QB0002X | Primary |
Addresses
Primary practice location
112 Perkins Dr Ste 300
Chapel Hill, NC 27514-1786
Mailing address
509 S Hyde Park Ave
Tampa, FL 33606-2266
Phone (813) 228-6334
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1652659200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1653955200000",
"number": "1003553785",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "509 S HYDE PARK AVE",
"city": "TAMPA",
"state": "FL",
"postal_code": "336062266",
"telephone_number": "813-228-6334"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "112 PERKINS DR STE 300",
"city": "CHAPEL HILL",
"state": "NC",
"postal_code": "275141786",
"telephone_number": "919-364-3344",
"fax_number": "919-364-0137"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PREVENTATIVE WELLNESS SOLUTIONS III PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-05-16",
"last_updated": "2022-05-31",
"certification_date": "2022-05-31",
"status": "A",
"authorized_official_last_name": "HEALD",
"authorized_official_first_name": "STACEY",
"authorized_official_title_or_position": "MGR",
"authorized_official_telephone_number": "813-228-6334"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "207QB0002X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine, Obesity Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chapel Hill, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.